Organization · NPI-2

Birmingham Podiatry PC

Podiatrist · Birmingham, AL

NPI number1477695013
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1477695013
Entity type
Organization (NPI-2)
Legal business name
Birmingham Podiatry PC
Organization subpart
No
Enumeration date
Feb 12, 2007
Certification date
Mar 23, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes

Practice location

805 St. Vincent'S Drive
Suite 420
Birmingham, AL 35205-2704

Phone 205-324-8511 · Fax 205-324-0319

Mailing address

805 St. Vincent'S Drive
Suite 420
Birmingham, AL 35205

Phone 205-324-8511 · Fax 205-324-0319

Authorized official

John L Roberson
Owner
2053248511

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